| Craniovertebral junction: biomechanical considerations. | |
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MedLine Citation:
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PMID: 20173531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The craniovertebral junction is a complex region that incorporates the occiput-C1-C2 portions of the spine. It is a transition between the cranium and the mobile cervical spine that permits significant motion. The motions afforded and the anatomy are vastly different at the occiput-C1 and C1-C2 articulations. These differences make treating pathology in this region very difficult. Problems include bony fixation of the cranium and the cervical spine (specifically C1 and C2), which limits complex motions, and limited bony sites available for arthrodesis. A thorough knowledge of the normal anatomy and biomechanics is required for fixation of this region. Moreover, an understanding of pathologic motions and the biomechanics of fixation is needed for successful construct design and good patient outcome. |
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Authors:
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Michael P Steinmetz; Thomas E Mroz; Edward C Benzel |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Neurosurgery Volume: 66 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-22 Completed Date: 2010-06-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: 7-12 Citation Subset: IM |
Affiliation:
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Center for Spine Health, Neurological Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. steinmm@ccf.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Atlanto-Axial Joint
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anatomy & histology,
physiology,
surgery* Atlanto-Occipital Joint / anatomy & histology, physiology, surgery* Biomechanics / physiology Head Movements / physiology* Humans Internal Fixators / standards, trends Joint Instability / pathology, radiography, surgery Ligaments / anatomy & histology, physiology, surgery Range of Motion, Articular / physiology* Spinal Diseases / pathology, radiography, surgery Spinal Fusion / instrumentation, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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